1981, 11-12 Permit P81B-1702 Mechanical FixturesPLA" NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
t R,, of I I C � L, 10 LEGAL DESCRIPTION -SEE ATTACHED
4.
OF
g. UTILITIES Public ❑Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
ADDRESS
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
ZIP
Type Const.
Occupancy
Sprinklered
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
/� /
l(i�'� / 'GSC—�
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT (.�'
❑Yes ❑No ❑ Req -d.
DESIGNER
NAME DATE Ii W G
Plan Check
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basemi
6.
I
Baths
No. Stories
No. Rooms
No. of Owe
TYPENo.
NEW ❑ A.T.
❑ AD'N. ❑ RPL.
❑ MVE.
], OF .
El OTHER
CERTIFICATE
Req'tl.
Recd.
Not R
�/
El BLD. YJ PLMB. ❑ MECH. ❑ M.H. El POOL
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
$ �p li XL Ip
FEES COLLECTED
VA1-UAI IUN SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
g. UTILITIES Public ❑Private ❑
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
2 C►
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
/� /
l(i�'� / 'GSC—�
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT (.�'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Ii W G
Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer( Lk
Other (Specify)
Utilities I Lkl/
.1—r=,.,..,�.,e. I KIT' SI"ri� TOTAL $`Z��
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
PERMIT NUMBER
® o - 7vZ
03* *29.00
*29.00 N
*29.0001
A *000
1701
11-12-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT,
17Q2d*29.00°a�J
DATE ISSUED PERMIT NO. TOTAL
70
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